Healthcare Provider Details

I. General information

NPI: 1619042173
Provider Name (Legal Business Name): VIRGINIA PSYCHIATRIC ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7135 JAHNKE RD
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

P.O. BOX 13135
RICHMOND VA
23225-0135
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-8101
  • Fax: 804-330-2938
Mailing address:
  • Phone: 804-330-8101
  • Fax: 804-330-2938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101027959
License Number StateVA

VIII. Authorized Official

Name: DR. NAZIR AHMAD CHAUDHARY
Title or Position: PSYCHIATRIST/OWNER
Credential: MD
Phone: 804-330-8101